Individual
IESHA HAUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
7095 BALTIMORE ANNAPOLIS BLVD, GLEN BURNIE, MD 21061-1431
(410) 859-3113
(410) 859-1006
Mailing address
7095 BALTIMORE ANNAPOLIS BLVD, GLEN BURNIE, MD 21061-1431
(410) 859-3113
(410) 859-1006
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R239391
MD
363LF0000X
Family Nurse Practitioner
Primary
R239391
MD
Other
Enumeration date
11/14/2025
Last updated
05/06/2026
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